Oral Health of Elderly People in Institutionalized Care and Three-Month Rehabilitation Programme in Southern Poland: A Case-Control Study

Michalak, Piotr; Polak-Szlósarczyk, Paulina; Dyduch-Dudek, Wioletta; Zarzecka-Francica, Elżbieta; Styrna, Maria; Czekaj, Łukasz; Zarzecka, Joanna

doi:10.3390/ijerph19094994

Cited by 4 publications

(2 citation statements)

References 42 publications

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“…There were no statistically significant difference in the number of genders between the groups ( p = 0.467) Similarly, in terms of age. The mean age of MHCOD men was 66.5 and DMCH 70.6 ( p = 0.657), while that of women was 78.2 and 72.9 years, respectively ( p = 0.222) (previously published) [ 13 ].…”

Section: Methodsmentioning

confidence: 85%

“…We hypothesized that the use of this test by nursing staff would make it possible to quickly and inexpensively screen patients and assess the need for patient consultation with a physician. In conducting the analysis, our aim was to explore additional aspects of frailty in the lives of senior patients and to complement our previously published studies [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Oral and Mucosal Complaints among Institutionalized Care Seniors in Malopolska Voivodeship—The Utility of the Mirror Sliding Test in an Assessment of Dry Mouth

Michalak

Polak-Szlósarczyk

Dyduch-Dudek

et al. 2022

IJERPH

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The purpose of this article was to evaluate reported oral and mucosal complaints among seniors residing in institutionalized 24-h care of the Municipal Center for Older and Dependent People (MHCOD) and the 3-month rehabilitation program of the Daily Medical Care House (DMCH). We evaluated the feasibility of using the dental mirror slidding test to assess dry mouth of seniors. Patients underwent a questionnaire, and clinical examination. The Visual Analogue Scale (VAS) was used to assess pain, Fox’s questionnaire and Challacombe’s scale with Clinical Oral Dryness Score to assess dryness of the mouth, dental mirror slidding test to assess buccal mucosal resistance. Dryness, mucosal burning, impaired taste, food intake are symptoms associated with seniors, and their frequency does not depend on the type of care. The incidence of mucosal burning (Mdn = 4.0, IQR = 4.75, p = 0.032) and difficulty in using dental prosthetics (Mdn = 3.0, IQR = 4.00, p = 0.010) increase with the length of stay at MHCOD. Seniors are at risk of side effects of polypharmacy, which cause dryness (p = 0.036), complaints of lack of saliva (p = 0.009)and taste disorders (p = 0.041. Seniors with higher levels of dry mouth are more likely to exhibit mucosal burning (p = 0.026) and difficulty in taking food (p = 0.037). The implementation of the dental mirror slidding test in the scope of the primary care of geriatric examination should be discussed.

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Section: Methodsmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Oral and Mucosal Complaints among Institutionalized Care Seniors in Malopolska Voivodeship—The Utility of the Mirror Sliding Test in an Assessment of Dry Mouth

Michalak

Polak-Szlósarczyk

Dyduch-Dudek

et al. 2022

IJERPH

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Factors associated with nurses’ attitudes for providing oral care in geriatric care facilities: a cross-sectional study

Chen,

Weng,

Zhang

et al. 2023

BMC Oral Health

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Background The world’s population is getting older. This issue is accompanied by a rise in the number of older people suffering from dementia and disability, for whom oral hygiene care is challenging. Nurses’ attitudes toward providing oral care (POC) are critical for the elderly, while few studies have investigated the determinant factors of nurses’ attitudes by identifying the current work pressure, resilience and self-efficacy in geriatric care facilities (GCFs). It is of great significance to explore the nurses’ attitudes toward POC and associated influencing factors related to psychological aspects including resilience, self-efficacy, and stress from the workplace. Methods Attitudes for Providing Mouth Care (A-PMC) in Chinese version were used in this cross-sectional study with 160 nurses in 2 GCFs. Data were collected using online questionnaires and analyzed by multiple linear regression analysis. Statistically significant values were considered at p < 0.05. Results A total of 160 nurses participated in this study, with an average age of 32.86 ± 7.43. The mean score for the A-PMC was 2.81 ± 0.47. The score of A-PMC was negatively correlated with work pressure (r=-0.332, p < 0.01), and positively correlated with resilience (r = 0.735, p < 0.01) and self-efficacy (r = 0.425, p < 0.01) respectively. Multiple linear regression analyses identified that the potential influencing factors of A-PMC were education background, work hours every shift, self-efficacy, work pressure and resilience. Conclusions The study results indicate nurses’ attitudes regarding PMC were at a low level, which is influenced by many factors. To improve nurses’ attitudes toward PMC and the oral hygiene (OH) of the elderly in GCFs, it is necessary to increase nurses’ education and training, establish a reasonable and effective incentive mechanism to improve nurses’ work motivation and other intervention measures to reduce work pressure.

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Oral health assessment in institutionalized elderly: a scoping review

Bakker,

de Smit,

Valentijn

et al. 2024

BMC Oral Health

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When elderly become frail and in need for complex care, they can no longer live independently at home and may be admitted to nursing homes. Various studies have shown that oral health in this population is remarkably poor, which may lead to distressing situations and impacts quality of life. A variety of definitions or descriptions for oral health is used. Without a uniform parameter, it is impossible to determine whether oral health in institutionalized elderly is actually improving or deteriorating over time, as well as the effect of (preventive) interventions. In search for an adequate and clinically applicable parameter to determine oral health in this specific patient group, this scoping review aims to give an overview of the currently used parameters for determining oral health in institutionalized elderly. Ninety different parameters were identified, and 50 parameters were solely used by one study. Only 4 parameters were frequently used (in > 20 studies). The relevance of these parameters for this specific patient group is discussed. To aid the planning and commissioning of future research and patient care, there is an urgent need for an adequate and uniform parameter for oral health determination in institutionalized elderly.

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Oral Health of Elderly People in Institutionalized Care and Three-Month Rehabilitation Programme in Southern Poland: A Case-Control Study

Cited by 4 publications

References 42 publications

Oral and Mucosal Complaints among Institutionalized Care Seniors in Malopolska Voivodeship—The Utility of the Mirror Sliding Test in an Assessment of Dry Mouth

Oral and Mucosal Complaints among Institutionalized Care Seniors in Malopolska Voivodeship—The Utility of the Mirror Sliding Test in an Assessment of Dry Mouth

Factors associated with nurses’ attitudes for providing oral care in geriatric care facilities: a cross-sectional study

Oral health assessment in institutionalized elderly: a scoping review

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